Individual
BRENDA LABAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 MAGNOLIA AVE, LONG BEACH, CA 90806-1234
(562) 595-1559
Mailing address
2109 N PACIFIC AVE, SANTA ANA, CA 92706-2436
(714) 862-0122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12168
CA
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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